PDMP & Health IT Integration All-Hands Meeting

1. PDMP & Health IT IntegrationAll-Hands Meeting June 24th, 2014

2. Meeting Etiquette From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting is being recorded and will be posted on the Meeting Artifacts Wiki page after the meeting • Remember: If you are not speaking keep your phone on mute • Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call • Hold = Elevator Music = very frustrated speakers and participants • This meeting, like all of our meeting is being recorded • Another reason to keep your phone on mute when not speaking • Feel free to use the “Chat” feature for questions, comments or any items you would like the moderator or participants to know.

3. Agenda

4. General Announcements… • The Solution Planning Work Group meets Thursdays, 12:00 – 1:00 pm ET. • https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=667584401 • Dial In: 1-650-479-3208 • Access code: 667 584 401

5. General Announcements Continued Note: Please check the meeting schedule weekly to get the most up-to-date meeting information • To subscribe to our mailing list, simply complete the PDMP & Health IT Project Signup Form: http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+Join+the+Initiative • To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+Meeting+Artifacts • To join our weekly webinars, visit the PDMP & Health IT Integration initiative Homepage for the latest meeting information: http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+Homepage

6. PDMP & Health IT IntegrationStandards and Harmonization June 24th, 2014

7. Agenda

8. PDMP Harmonization Timeline (Today) 3/25 Harmonization Kick-off 7/29 Harmonization Close Candidate Standards List End-to-end Review & Community Consensus Standards Evaluation Solution Plan UCR-Standards Mapping Gap Mitigation Plan Create IG Template IG Development Solution Planning IG Development

9. Harmonization Weekly Timeline

10. Review: Solution Planning Workgroup Session (6/19)Solution Plan Workflow Analysis

11. HIE/Ph. Interm. 2 5 2 7 4 Out of State PDMP In-State PDMP EHR or Pharmacy System Hub 1 8 8 PMP/HITI User Stories with Alternate Workflows EHR or Ph. to In-State PMP: 1a: EHR to In-state PMP 1b: Ph. to In-state PMP 2a: EHR to In-state PMP via HIE 2b: Ph. to In-State PMP via HIE 3a: EHR to In-state PMP via Hub 3b: Ph. Intermediary to In-State PMP via Hub EHR or Ph. to Out-of-State PMP: 1a+4: EHR to out-of-state PMP via In-state PMP 1b+4: Ph.to out-of-state PMP via In-state PMP 2a+4: EHR to out-of-state PMP via HIE & In-state PMP 2b+4: Ph. to out-of-state PMP via Ph. Int& In-state PMP 2a+5: EHR to out-of-state PMP via HIE 2b+5: Ph. to out-of-state PMP via HIE 2a+7a+6: EHR to out-of-state PMP via HIE + Hub 2b+7a/7b+6: Ph to out-of-state PMP via HIE/Ph. Int + Hub 3a+4: EHR to out-of-state PMP via Hub & In-State PMP 3b+4: Ph. to out-of-state PMP via Hub & In-State PMP 1a+8: EHR to out-of-state PMP via In-State PMP & Hub 1b+8: Ph. to out-of-state PMP via In-State PMP & Hub 3a+6: EHR to out-of-state PMP via Hub 3b+6: Ph. To out-of-state PMP via Hub 3 7 6 3 Hub

12. Solution Planning Work Group Approach

13. Solution Planning Approach Most preferred workflow PDMP Hub Variant 1: Intermediary provides translation functionality Variant 2: Translation is handled at EHR, providing mapping to PMIX from native EHR standards Variant 3: Interface engine at EHR-level provides functionality to send PMIX message derived from native EHR standards. EHR / Pharmacy PDMP HIE Ph. Interm. Translation / Routing EHR Origin Standard: HL7 V2 (acute) NCPDP SCRIPT (ambulatory) Pharmacy Origin Standard: HL7 V2 (in hospital) NCPDP SCRIPT (retail) PDMP Standard PMIX 1. How to take HL7 V2, NCPDP SCRIPT, ASAP and transform to PMIX Architecture-NIEM Standards? 2. What gaps have been identified to perform necessary query out of HIT specific to PDMP? 3. Define technical architecture of total solution. Alternative: ASAP Web Service

14. Develop holistic solutions for Hub, Intermediary, and Direct workflows Prioritize EHR/Pharm  Hub Solution Begin detailing solution and technical details (standards) Develop IG content based on PDMP Hub solution • Deferment does not equate to elimination of workflows from inclusion in future solution plans and iterations/updates to the Implementation Guide Develop IG content based on PDMP Intermediary solution Leverage Hub Solution for EHR/Pharm  Intermediary workflow guidance Defer direct connection workflow model due to limited scalability and restriction of interstate data sharing Develop IG content based on PDMP Direct solution

16. Data Element Analysis

17. Minimum Required Data Elements Analysis - Status

18. Implementation Guide – Data Elements and Attributes

19. Data Requirements Analysis - PDMP & HITI Use Case

20. Data Requirements Analysis - PDMP & HITI Use Case

21. Consolidated Standard Data Set– PDMP & HITI Use Case

22. Standard Data Set– MITRE WG Recommendation

23. Next Steps • Review: Minimum Dataset Requirements • Next Solution Planning WG meeting is Thursday, June 26 from 12:00pm – 1:00pm ET • Next All Hands meeting is Tuesday, July 1 from 12:00pm - 1:00pm ET • Reminder: All PDMP & HIT Integration Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Harmonization materials, Use Case, Project Charter and general information will be posted on the PDMP Wiki page • http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+Homepage

24. Contact Information • For questions, please feel free to contact your support leads: • Initiative Coordinators: • Johnathan Coleman jc@securityrs.com • Sherry Green sgreen@namsdl.org • ONC Leads: • Mera Choi mera.choi@hhs.gov • Jennifer Frazier Jennifer.Frazier@hhs.gov • Helen Caton-Peters Helen.Caton-Peters@hhs.gov • SAMHSA Leads • Jinhee Lee Jinhee.Lee@samhsa.hhs.gov • Kate Tipping Kate.Tipping@samhsa.hhs.gov • Support Team: • Project Management: • Jamie Parker jamie.parker@esacinc.com • Ali Khan Ali.Khan@esacinc.com (Support) • Use Case Development: • Ahsin Azim Ahsin.Azim@accenturefederal.com • Presha Patel presha.patel@accenture.com • Standards Development Support: • Alex Lowitt alexander.s.lowitt@accenturefederal.com • Harmonization Support: • Divya Raghavachari divya.raghavachari@accenturefederal.com • Atanu Sen atanu.sen@accenture.com • Implementation Guide Development: • Rita Torkzadehrtorkzadeh@jbsinternational.com • Vijay Shah vshah@jbsinternational.com • Vocabulary and Terminology Subject Matter Expert: • Mark Roche mrochemd@gmail.com

25. Appendix

26. Questions to be answered: Differences in pharmacy and clinician workflows / data systems and expectations in PDMP data transmitted? How do we define intermediaries and their relationships to Health IT systems? What components of PDMP report are extracted for decision support? Can EHR and Pharmacy IT systems handle the proposed standards (in the context of PDMP systems)? What standard(s) fit into message and workflow configuration per transaction type? Are transactions collapsible in terms of capability of leveraging same standard? Are all transactions necessary? What is the cost associated with the proposed solutions? How do we define an aggregator? (collection of response from different PDMPs back to recipient) Parking lot item: Differences in care settings - Ambulatory vs. Acute; In-hospital pharmacies vs. retail pharmacies. Are different standards needed for different EHR systems?

27. Initiative Progress & Current Status Standards Evaluation • Narrowed down candidate standards via mapping to Use Case Requirements • Identified and analysed gaps for all narrowed down standards in the Gap Mitigation Plan Solution Planning • Determining standards currently in general use per transaction workflow • Select harmonized standard solution based on current and recommended standards landscapes Implementation Guide Development • Develop Implementation Guide (IG) based on selected solution